Soutar D S
Western Infirmary, Glasgow.
Ann R Coll Surg Engl. 1989 May;71(3):169-74.
Advances in technique, training and instrumentation have improved the patency rates for small vessel anastomosis. This, together with the introduction of more reliable donor sites for free tissue transfer, have resulted in success rates in excess of 90%. The technique is not associated with an increase in mortality or morbidity; on the contrary there is the advantage of primary reconstruction with a wide choice of donor sites offering the correct amount and type of tissue required. Single-stage, effective reconstruction, aimed at primary wound healing remains the aim of the reconstructive surgeon and free tissue transfer offers the most versatile and reliable method currently available.
技术、培训和器械方面的进步提高了小血管吻合的通畅率。这一点,再加上为游离组织移植引入了更可靠的供区,使得成功率超过了90%。该技术不会增加死亡率或发病率;相反,它具有一期重建的优势,供区选择广泛,能提供所需的适量且合适类型的组织。旨在实现一期伤口愈合的单阶段、有效重建仍然是重建外科医生的目标,而游离组织移植提供了目前可用的最通用且可靠的方法。